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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 23-6907 <br />LOCAL STREET PREVENTATIVE MAINTENANCE FY 22-23 <br />CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT <br />The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she and <br />all his/her subcontractors are registered with the State of California Department of Industrial <br />Relations (DIR), and that the following is true and correct. <br />Contractor's Naive: ONYX PAVING COMPANY, INC. <br />Business Address: 2890 E. LA CRESTA AVE. ANAHEIM, CA 92806 <br />Business E-Mail Address: BIDS@ONYXPAVING.NET <br />Telephone <br />714-632-6699 <br />State Contractor's License No. and Class: 630360; A, C-12 <br />License Expiration Date: 10/31/2023 <br />State Dept. of Industrial Relations (DIR) <br />Registration No.: 1000004798 <br />State Dept. of Industrial Relations (DIR) <br />Registration Expiration Date: 06/30/2023 <br />Signed: <br />Title: COREY R. KIRSCHNER - CEO, PRES, VP, SEC, TREA <br />P-5 of P-17 <br />